Supplemental Method information Selection and preparation of lymphocyte samples Due to pregnancy and study-related complications, cord blood samples of sufficient quantities for cell isolation were collected from only 83 participants. Among these 83 participants, only 66 maternal T lymphocyte DNA samples were of sufficient quantities for DNA methylation analyses. From these T lymphocyte DNA samples, 44 cord blood samples of non-medicated women with singleton pregnancies were selected for the genome-wide DNA methylation analyses together with 38 antepartum maternal samples. Whole blood was collected in heparin-coated tubes, stored on ice, and processed within a day of collection. The peripheral blood mononuclear cell (PBMC) layer was separated by centrifugation at 400 g with Ficoll-Paque (GE Healthcare, Little Chalfont, UK) following previously published protocol. 25 After the washing the PBMCs with Hank’s Balanced Salt Solution (HBSS; Invitrogen, Carlsbad, CA, USA), CD19+ B lymphocytes and CD3+ T lymphocytes were isolated from the PBMCs with Dynabeads® CD19 pan B (111.43D, Invitrogen, Carlsbad, CA, USA) and Dynabeads® CD3 (111.51D, Invitrogen, Carlsbad, CA, USA) respectively using a strong magnet (Stemcell Technology, Vancouver, BC, Canada) and washed with 4% fetal bovine serum (FBS) in phosphate buffered saline (PBS). When timing did not allow the B and T lymphocyte isolation to be completed immediately after the PBMC separation, PBMCs were frozen in 1 ml freezing media (RPMI with 20% FBS and 10% dimethyl sulfoxide (DMSO)) to be processed at a later time. The isolated CD3+ T lymphocytes were then frozen at -80°C until DNA extraction. Illumina Methylation 450K analysis Based on the quality and quantity of the DNA isolated from T lymphocytes, 38 antepartum maternal samples and 44 neonatal cord blood samples were selected for genome-wide DNA methylation analysis with Infinium Human Methylation 450K BeadChip Array (WG-314-1001, Illumina Inc., San Diego, CA, USA), which was performed at Genome Quebec, Montreal, Canada. For this analysis the genomic DNA was quantified using Picogreen protocol (Quant-iT™ PicoGreen® dsDNA Products, P-7589, Invitrogen, Carlsbad, CA, USA) and read on SpectraMAXGeminiXS Spectrophotometer. Bisulfite conversion of 500 ng genomic DNA was carried out by the EZ-96 DNA Methylation-Gold Kit (D5007, Zymo Research, Irvine, CA, USA). The Illumina Methylation 450K kit was used for the microarray experiment following the manufacturer’s protocol, with the exception that 8 µl of bisulfite converted material was utilized to initiate the amplification step. An Illumina Hybridization oven was used for incubating amplified DNA (37°C) and for BeadChips hybridization (48°C). A Hybex incubator was used for the fragmentation (37°C) and the denaturation (95°C) steps. The X-stain step was carried out with a Tecan Freedom evo robot with a Te-Flow module. Arrays were scanned on an Illumina iScan Reader. All statistical analyses were carried out using the M-values as recommended by Du and colleagues51 because of the heteroscedasticity of the β-values. In the Illumina assay methylated signal corresponds to Signal B and unmethylated signal corresponds to Signal A, therefore the β-value is calculated as: β = max(Signal B,0) / max(Signal A,0)+max(Signal B,0)+100; whereas M-value is calculated as: M = log2((max(Signal B,0)+1) / (max(Signal A,0)+1)). Analyses of methylation data from hippocampal tissue samples The brain tissue samples were collected from suicide completers and individuals who died suddenly in an accident or by cardiac arrest and stored at the Quebec Suicide Brain Bank, Douglas Mental Health Institute, Verdun, QC, Canada. Genomic DNA was extracted from the carefully dissected dentate gyrus of the left hemisphere, and used for methylated DNA immunoprecipitation. After labeling the input and the methylated DNA fractions to cyanine 3-dUTP (Cy3) and cyanine 5-dUTP (Cy5) using the Agilent Genomic Enzymatic Labeling Kit, the samples were hybridized to a custom-designed 400K promoter tiling array (Agilent Technologies, Santa Clara, CA, USA).33 Methylation levels of promoters were obtained by taking the median estimated methylation level across each promoter. Differential methylation between groups of samples was determined at the probe and promoter levels to ensure both statistical significance and biological relevance, as previously described.52 At the probe level, a modified t-statistic was computed for each probe corresponding to probe log-ratio differences using the ‘limma’ package of Bioconductor.53,54 Then, promoter-level methylation differences were calculated as enrichment of large positive or negative t-statistic values among the probes in the promoter (about 10) using the Wilcoxon rank-sum test. Pyrosequencing Genomic DNA of the neonatal cord blood T lymphocyte samples was quantified using Qubit dsDNA BR Assay Kit (Q32853, Invitrogen, Carlsbad, CA, USA) and read on Qubit 2.0 Fluorometer (Q32866, Invitrogen, Carlsbad, CA, USA). From 500 ng of genomic DNA the bisulfite conversion was done by EZ DNA Methylation-Gold Kit (D5006, Zymo Research, Irvine, CA, USA). For one PCR amplification ~ 2% of the bisulfite converted DNA (equaling to ~ 10 ng of original genomic DNA) was used in 40 µl reaction volume with 1 U of the EpiMark Hot Start Taq DNA Polymerase (M0490, New England Biolabs, Ipswich, MA, USA) in the provided reaction buffer (final conc. 1x), 0.2 mM dNTPs and 0.2 µM primers. The thermocycle consisted of an initial denaturation step (95°C – 1 min), 45 cycles of denaturation (95°C – 30 sec), annealing (58°C – 1 min), and extension (68°C – 1 min), and a final extension step (68°C – 10 min). For the pyrosequencing 16 µl of the PCR products were used on either PyroMark Q24 or Q96 (Qiagen, Venlo, Limburg, Netherlands) according to the manufacturer’s protocol. The methylation percentage at each CpG site was analyzed using the PyroMark Q24 or CpG 1.0.11 software (Qiagen, Venlo, Limburg, Netherlands), then the level of methylation (β-value) was used to calculate M-value as: M = log2(β/(1-β)). The sequences of primers used for pyrosequencing: gene BLK CG-site cg15742700 chr 8 position 11350853 FCER2 cg21121609, cg12387247 cg19913465, cg20234640 19 19 7766960, 7766974 7767075, 7767089 cg12002047 19 7767279 cg02606840 2 99280930 cg03429643 2 99280963 cg23217386 11 5653254 cg17976229 11 5653336 cg22160073 11 5653405 MGAT4A TRIM34 forward primer biot. reverse primer sequencing primer GATTGGATTGAGATAA TATTGAGTTATGAG GTTTGGAGTTTGTGTTT GTTTTTTTAGTG ATTTAAAACAATTAA CCACATTCACATC ACATCTCTAATTCTCA CCCAATTCT GTTGTAGGTTTGAT AGGT GTTTGTTTTTTTAGT GTGTTG GTTAAGTAGTAAGTTTT TATAGGGTTGAAG ACATTTAACCTAAAA ACCTATTTACTCA GTGGATGGGTGTGGTT GATA CCTCTAAAACAAACA CCAAATAAACA GAAGGGATATGTAAGG AGAAAGTT CTCTCTTCTAATTAAA AACCCCTAAATA TTTTATAGATTTAA ATATGGGTTTG TGTTATTGTATATT GAATTATATTA TGAGATAGTTGGTA GGT TGTATTTTGTATGT AGTATTTTTAT AGGAGAAAGTTGA AAAAAG AGTGTAAAAGTTTT GAGGTA TTTTTTTGTTTTTTG ATATTGTAG References 51. Du P, Zhang X, Huang CC, Jafari N, Kibbe WA, et al. (2010) Comparison of Beta-value and Mvalue methods for quantifying methylation levels by microarray analysis. BMC Bioinformatics 11: 587. 52. Borghol N, Suderman M, McArdle W, Racine A, Hallett M, et al. (2012) Associations with earlylife socio-economic position in adult DNA methylation. Int J Epidemiol 41: 62-74. 53. Smyth GK (2005) Limma: linear models for microarray data. In: R. Gentleman VC, S. Dudoit, R. Irizarry, W. Huber editor. Bioinformatics and Computational Biology Solutions using R and Bioconductor. New York: Springer,. pp. 397-420. 54. Gentleman RC, Carey VJ, Bates DM, Bolstad B, Dettling M, et al. (2004) Bioconductor: open software development for computational biology and bioinformatics. Genome Biol 5: R80.